Built for Palmetto GBA’s four-state Jurisdiction M rules and Virginia’s Cardinal Care Medicaid program, we keep Virginia radiology groups paid accurately and on time.
Jurisdiction M Medicare rules shared with three other states
Medicaid unified under the Cardinal Care program
No interstate compact fast-track for physician licensure
15 working days to pay a clean claim
Certified CIRCC and CPC coders handle every CPT code, modifier, and global billing rule specific to diagnostic and interventional radiology — maximizing reimbursement on every encounter across all modalities and payer types.
We manage payer credentialing and enrollment for radiologists, imaging centers, and IR practices. CAQH management and timely revalidations keep providers in-network without delays.
We verify patient coverage and imaging benefits before every scan is scheduled. Our team flags missing prior authorizations and AUC gaps early, preventing denials and protecting your revenue upfront.
We manage your complete revenue cycle — from charge entry and claims submission to payment posting and denial resolution — improving collections and shortening days in A/R.
Our certified coders apply precise CPT and ICD-10 codes across X-ray, CT, MRI, and ultrasound claims. Correct TC/PC/Global splits ensure faster reimbursements and fewer claim rejections.
Our team handles scheduling, patient intake, insurance verification, and pre-authorization coordination so your front desk runs smoothly and imaging appointments stay on track.
We audit your billing and coding processes to uncover missed charges, compliance gaps, and revenue leakage — giving you a clear roadmap to recover lost revenue.
Medicaid claims filed under outdated Medallion or CCC Plus rules
Jurisdiction M denials reworked from scratch every time
Out-of-state licensure timelines underestimated with no compact
Clean claims slipping past the 15-working-day clock
Legal-rate interest penalties absorbed instead of collected
Medicaid claims filed to Cardinal Care's current structure
Jurisdiction M appeals built on tracked Palmetto bulletins
Standard Virginia licensure timelines planned for up front
Every clean claim timestamped against the 15-working-day clock
Legal-rate interest tracked and collected, not written off
Generic billing is the fastest way to a denied radiology claim. RBS delivers specialty-specific revenue integrity built for imaging’s TC/PC splits and modifier rules, so you capture every dollar you’re owed.
Jurisdiction M and Palmetto-specific claim review
Medicaid claims filed to Cardinal Care's current structure
Licensure and payer enrollment timelines planned without a compact
Clean-claim tracking against the 15-working-day clock
Commercial billing built for Anthem's specific requirements
Radiology Practice Manager
Since partnering with your radiology billing team, our billing workflow has become much smoother. They understand imaging procedures, payer requirements, coding, and claim follow-ups. Their team is responsive, professional, and always stays on top of outstanding claims.
Medical Director, Diagnostic Imaging Center
Your team truly understands the challenges of radiology billing. They handle claims accurately, follow up on unpaid accounts, and help resolve billing issues efficiently. Their expertise and communication have made our revenue cycle more organized and reliable.
Radiologist & Imaging Center Owner
Our team has been an excellent partner for our imaging center. They understand radiology billing, coding, claim submission, denials, and follow-ups. Their attention to detail and consistent communication have helped streamline our billing process and improve our revenue cycle.
